Perceptions of patient-centered care among veterans with gastroesophageal reflux disease on proton pump inhibitor therapy

The aim of this study was to explore perceptions of patient-centered care (PCC) among Veterans with gastroesophageal reflux disease (GERD) on proton pump inhibitor (PPI) therapy using patient-reported outcome (PRO) measures. We used three validated surveys to measure PCC concepts in a national sampl...

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Autores principales:	Salva Balbale, Andrew Gawron, Sherri LaVela
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2018
Materias:	patient-centered care patient-reported outcome measures gastroesophageal reflux disease veterans Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/907844c608cd40b4baff1c433f986073
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spelling	oai:doaj.org-article:907844c608cd40b4baff1c433f9860732021-11-15T04:25:59ZPerceptions of patient-centered care among veterans with gastroesophageal reflux disease on proton pump inhibitor therapy2372-0247https://doaj.org/article/907844c608cd40b4baff1c433f9860732018-11-01T00:00:00Zhttps://pxjournal.org/journal/vol5/iss3/17https://doaj.org/toc/2372-0247The aim of this study was to explore perceptions of patient-centered care (PCC) among Veterans with gastroesophageal reflux disease (GERD) on proton pump inhibitor (PPI) therapy using patient-reported outcome (PRO) measures. We used three validated surveys to measure PCC concepts in a national sample of Veterans with GERD on PPI therapy. The Combined Outcome Measure for Risk Communication and Treatment Decision Making Effectiveness (COMRADE) measures patient experiences with risk communication and decision-making. The Patient Activation Measure (PAM) evaluates confidence and knowledge needed for self-management. The Patient Assessment of Care for Chronic Conditions (PACIC) assesses views of chronic care received. We used descriptive statistics to describe patient characteristics and PCC outcomes. Respondents (n=444) were mostly male (95.1%) with a mean age of 67.7 years. The mean COMRADE score measuring patient experiences with risk communication was 55.3 (SD=19.0). The mean PAM score was 56.1 (SD=19.2); 47.8% of respondents were considered disengaged patients lacking confidence and knowledge for self-management. The mean PACIC summary score was 3.03 (SD=1.2), with highest scores in the Delivery System Design/Decision Support (3.38, SD=1.2) subscale, and lowest scores in the Follow-up/Coordination subscale (2.58, SD=1.3). Veterans with GERD reported that care was well-organized and supportive in enhancing decision-making. Potential gaps in patient experiences may exist in delivering follow-up care, enhancing patient activation, and informing patients about risks of available GERD treatments. This is the first study to evaluate patient perceptions of PCC in a national sample of Veterans with GERD on PPI therapy. Findings can inform further investigation and development of targeted interventions to enhance the experience of PCC for individuals with GERD.Salva BalbaleAndrew GawronSherri LaVelaThe Beryl Institutearticlepatient-centered carepatient-reported outcome measuresgastroesophageal reflux diseaseveteransMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient-centered care patient-reported outcome measures gastroesophageal reflux disease veterans Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient-centered care patient-reported outcome measures gastroesophageal reflux disease veterans Medicine (General) R5-920 Public aspects of medicine RA1-1270 Salva Balbale Andrew Gawron Sherri LaVela Perceptions of patient-centered care among veterans with gastroesophageal reflux disease on proton pump inhibitor therapy
description	The aim of this study was to explore perceptions of patient-centered care (PCC) among Veterans with gastroesophageal reflux disease (GERD) on proton pump inhibitor (PPI) therapy using patient-reported outcome (PRO) measures. We used three validated surveys to measure PCC concepts in a national sample of Veterans with GERD on PPI therapy. The Combined Outcome Measure for Risk Communication and Treatment Decision Making Effectiveness (COMRADE) measures patient experiences with risk communication and decision-making. The Patient Activation Measure (PAM) evaluates confidence and knowledge needed for self-management. The Patient Assessment of Care for Chronic Conditions (PACIC) assesses views of chronic care received. We used descriptive statistics to describe patient characteristics and PCC outcomes. Respondents (n=444) were mostly male (95.1%) with a mean age of 67.7 years. The mean COMRADE score measuring patient experiences with risk communication was 55.3 (SD=19.0). The mean PAM score was 56.1 (SD=19.2); 47.8% of respondents were considered disengaged patients lacking confidence and knowledge for self-management. The mean PACIC summary score was 3.03 (SD=1.2), with highest scores in the Delivery System Design/Decision Support (3.38, SD=1.2) subscale, and lowest scores in the Follow-up/Coordination subscale (2.58, SD=1.3). Veterans with GERD reported that care was well-organized and supportive in enhancing decision-making. Potential gaps in patient experiences may exist in delivering follow-up care, enhancing patient activation, and informing patients about risks of available GERD treatments. This is the first study to evaluate patient perceptions of PCC in a national sample of Veterans with GERD on PPI therapy. Findings can inform further investigation and development of targeted interventions to enhance the experience of PCC for individuals with GERD.
format	article
author	Salva Balbale Andrew Gawron Sherri LaVela
author_facet	Salva Balbale Andrew Gawron Sherri LaVela
author_sort	Salva Balbale
title	Perceptions of patient-centered care among veterans with gastroesophageal reflux disease on proton pump inhibitor therapy
title_short	Perceptions of patient-centered care among veterans with gastroesophageal reflux disease on proton pump inhibitor therapy
title_full	Perceptions of patient-centered care among veterans with gastroesophageal reflux disease on proton pump inhibitor therapy
title_fullStr	Perceptions of patient-centered care among veterans with gastroesophageal reflux disease on proton pump inhibitor therapy
title_full_unstemmed	Perceptions of patient-centered care among veterans with gastroesophageal reflux disease on proton pump inhibitor therapy
title_sort	perceptions of patient-centered care among veterans with gastroesophageal reflux disease on proton pump inhibitor therapy
publisher	The Beryl Institute
publishDate	2018
url	https://doaj.org/article/907844c608cd40b4baff1c433f986073
work_keys_str_mv	AT salvabalbale perceptionsofpatientcenteredcareamongveteranswithgastroesophagealrefluxdiseaseonprotonpumpinhibitortherapy AT andrewgawron perceptionsofpatientcenteredcareamongveteranswithgastroesophagealrefluxdiseaseonprotonpumpinhibitortherapy AT sherrilavela perceptionsofpatientcenteredcareamongveteranswithgastroesophagealrefluxdiseaseonprotonpumpinhibitortherapy
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Perceptions of patient-centered care among veterans with gastroesophageal reflux disease on proton pump inhibitor therapy

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